| Dr Neeta Jain, MD | |
|
9801 Frontier Ave Se, Snoqualmie, WA 98065-5200 | |
| (425) 831-2300 | |
| (425) 831-2361 |
| Full Name | Dr Neeta Jain |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 9801 Frontier Ave Se, Snoqualmie, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659674687 | NPI | - | NPPES |
| 2064983 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD60657304 (Washington) | Primary |
| Entity Name | Public Hospital District No 4 King County Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902846546 PECOS PAC ID: 6002700861 Enrollment ID: O20040211001236 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Neeta Jain, MD 9801 Frontier Ave Se, Snoqualmie, WA 98065-5200 Ph: (425) 831-2300 | Dr Neeta Jain, MD 9801 Frontier Ave Se, Snoqualmie, WA 98065-5200 Ph: (425) 831-2300 |
Hema Nirmal, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 37624 Se Fury St, Ste 101, Snoqualmie, WA 98065 Phone: 425-888-2016 Fax: 206-320-5170 | |
Dr. Chinonyelum Blessing Obih, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 37624 Se Fury St Ste 101, Snoqualmie, WA 98065 Phone: 425-888-2016 Fax: 206-320-5170 | |
Dr. Penny Russell Tronolone, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Echo Glen Children's Center, 33010 Se 99th St, Snoqualmie, WA 98065 Phone: 425-831-2501 Fax: 425-831-2545 | |
Jordan Scott Wallace, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9801 Frontier Ave Se, Snoqualmie, WA 98065 Phone: 425-831-2300 |